Somri M, Gaitini L, Vaida S, Collins G, Sabo E, Mogilner G
Department of Anaesthesia, Bnai Zion Medical Center, Haifa, Israel.
Anaesthesia. 1998 Aug;53(8):762-6. doi: 10.1046/j.1365-2044.1998.00431.x.
The incidence of inguinal hernia is higher in premature infants, particularly in low birth weight neonates. This latter group may also incur increased postoperative respiratory complications and inpatient admissions. The purpose of this study was to compare the effects of general and spinal anaesthesia on postoperative respiratory morbidity and on the length of hospital stay in high-risk infants undergoing inguinal herniorrhaphy. Forty patients, all high-risk infants who underwent unilateral or bilateral herniorrhaphies, were randomly assigned to receive general anaesthesia (n = 20) or spinal anaesthesia (n = 20). There was a significant difference in respiratory morbidity between the two groups, as well as a significant difference in the inpatient hospital stay. The present study suggests that spinal anaesthesia can be used safely for high-risk infants, preterm or formerly preterm, undergoing inguinal hernia repair.
腹股沟疝在早产儿中发病率较高，尤其是低出生体重的新生儿。这后一组患儿术后呼吸系统并发症和住院率也可能增加。本研究的目的是比较全身麻醉和脊髓麻醉对接受腹股沟疝修补术的高危婴儿术后呼吸系统发病率和住院时间的影响。40例患者均为接受单侧或双侧疝修补术的高危婴儿，随机分为全身麻醉组（n = 20）和脊髓麻醉组（n = 20）。两组之间呼吸系统发病率有显著差异，住院时间也有显著差异。本研究表明，脊髓麻醉可安全用于接受腹股沟疝修补术的高危婴儿，包括早产儿或既往的早产儿。
